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1053544916
TEDDY WINNEY
MEMPHIS, TN
NPI
1053544916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN APN14277)
Enumeration Date
2009-08-26
Last Update Date
2016-06-28
Business Address
-- TEDDY WINNEY CRNA
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-448-5893
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Mailing Address
-- TEDDY WINNEY CRNA
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number:
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